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1.
Eur Biophys J ; 53(3): 123-131, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38451329

RESUMO

We present a new phenomenon resulting from the interaction of magnetic beads with cancer cells in a laser trap formed on a slide containing a depression 16.5 mm in diameter and 0.78 mm of maximum depth. This phenomenon includes the apparent formation and expansion of a dark bubble that attracts and incinerates surrounding matter when it explodes, which leads to a plasma emitting intense radiation that has the appearance of a star on a microscopic scale. We have observed the star-like phenomenon for more than 4 years, and the intensity depends on the laser's power. Measuring the laser power of the dark bubble shows the entrapment of electromagnetic energy as it expands.


Assuntos
Imãs , Neoplasias , Lasers , Neoplasias/radioterapia
2.
J Endocrinol Invest ; 47(6): 1405-1418, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38218741

RESUMO

OBJECTIVES: To examine the cross-sectional association between baseline depressive symptoms and the presence of type 2 diabetes (T2D), and its association with glycated hemoglobin (HbA1c) and other metabolic variables, and the prospective association of depressive symptoms and HbA1c after 1 year of follow-up. METHODS: n = 6224 Mediterranean older adults with overweight/obesity and metabolic syndrome (48% females, mean age 64.9 ± 4.9 years) were evaluated in the framework of the PREDIMED-Plus study cohort. Depressive symptoms were assessed using the Beck Depression Inventory-II and HbA1c was used to measure metabolic control. RESULTS: The presence of T2D increased the likelihood of higher levels of depressive symptoms (χ2 = 15.84, p = 0.001). Polynomial contrast revealed a positive linear relationship (χ2 = 13.49, p = 0.001), the higher the depressive symptoms levels, the higher the prevalence of T2D. Longitudinal analyses showed that the higher baseline depressive symptoms levels, the higher the likelihood of being within the HbA1c ≥ 7% at 1-year level (Wald-χ2 = 24.06, df = 3, p < .001, for the full adjusted model). Additionally, depressive levels at baseline and duration of T2D predicted higher HbA1c and body mass index, and lower physical activity and adherence to Mediterranean Diet at 1 year of follow-up. CONCLUSIONS: This study supports an association between T2D and the severity of depressive symptoms, suggesting a worse metabolic control from mild severity levels in the short-medium term, influenced by lifestyle habits related to diabetes care. Screening for depressive symptoms and a multidisciplinary integrative therapeutic approach should be ensured in patients with T2D.


Assuntos
Depressão , Diabetes Mellitus Tipo 2 , Humanos , Diabetes Mellitus Tipo 2/psicologia , Diabetes Mellitus Tipo 2/epidemiologia , Diabetes Mellitus Tipo 2/complicações , Feminino , Masculino , Pessoa de Meia-Idade , Seguimentos , Depressão/epidemiologia , Depressão/etiologia , Idoso , Estudos Transversais , Hemoglobinas Glicadas/análise , Estudos Prospectivos , Dieta Mediterrânea , Prevalência , Índice de Massa Corporal , Obesidade/psicologia , Obesidade/epidemiologia , Obesidade/complicações , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/psicologia
3.
Med Oral Patol Oral Cir Bucal ; 29(4): e458-e467, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38907642

RESUMO

BACKGROUND: Sutures have been the standard flap closure method of choice following mandibular third molar surgery but can lead to some complications. Tissue adhesives, including cyanoacrylate, have emerged as alternative flap closure method in this surgery to overcome such drawbacks. However, limited clinical trials can be found. Therefore, the aim of this clinical study was to compare two methods of flap closure in mandibular third molar surgery, cyanoacrylate and 4/0 silk sutures, by assessing post-operative outcome measures (pain, swelling, trismus, and healing) and patient-reported outcome measures (PROMs). MATERIAL AND METHODS: A randomized split-mouth clinical trial was designed, in which mandibular third molar (M3M) extractions were performed, where the control side flap was closed with 4/0 silk sutures and the test side flap with cyanoacrylate. Swelling, pain, trismus, healing, and PROMs were recorded post-operatively. These variables were analyzed by means of the nonparametric Mann-Whitney U test, using SPSS statistical software version 28.0.0 (IBM® SPSS®, Chicago, IL, USA). For all results, a 95% confidence interval was recorded (significance level p < 0.05, two-tailed). RESULTS: A total of 17 patients were recruited and 34 mandibular third molar extractions were performed. No statistically significant differences were found in terms of swelling, pain, trismus, healing, and PROMs between both groups (p<0.05). CONCLUSIONS: No statistically significant differences were found between flap closure with 4/0 silk sutures and cyanoacrylate, in terms of surgical post-operative outcomes and PROMs. However, further studies with larger sample sizes are required to be able to affirm it with greater certainty.


Assuntos
Cianoacrilatos , Mandíbula , Dente Serotino , Retalhos Cirúrgicos , Humanos , Dente Serotino/cirurgia , Masculino , Feminino , Adulto , Cianoacrilatos/uso terapêutico , Mandíbula/cirurgia , Adulto Jovem , Suturas , Extração Dentária , Técnicas de Sutura
4.
Helminthologia ; 61(2): 142-150, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-39040804

RESUMO

Protein kinases are enzymes involved in essential biological processes such as signal transduction, transcription, metabolism, and the cell cycle. Human kinases are targets for several drugs approved by the US Food and Drug Administration. Therefore, the identification and classification of kinases in other organisms, including pathogenic parasites, is an interesting subject of study. Monogeneans are platyhelminths, mainly ectoparasites, capable of causing health problems in farmed fish. Although some genomes and transcriptomes are available for monogenean species, their full repertoire of kinases is unknown. The aim of this study was to identify and classify the putative kinases in the transcriptomes of two monogeneans, Rhabdosynochus viridisi and Scutogyrus longicornis, and then to predict potential monogenean drug targets (MDTs) and selective inhibitor drugs using computational approaches. Monogenean kinases having orthologs in the lethal phenotype of C. elegans but not in fish or humans were considered MDTs. A total of 160 and 193 kinases were identified in R. viridisi and S. longicornis, respectively. Of these, 22 kinases, belonging mainly to the major groups CAMK, AGC, and TK, were classified as MDTs, five of which were evaluated further. Molecular docking analysis indicated that dihydroergotamine, ergotamine, and lomitapide have the highest affinity for the kinases BRSK and MEKK1. These well-known drugs could be evaluated in future studies for potential repurposing as anti-monogenean agents. The present study contributes valuable data for the development of new antiparasitic candidates for finfish aquaculture.

5.
BMC Cardiovasc Disord ; 23(1): 13, 2023 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-36635626

RESUMO

BACKGROUND: Right ventricular (RV) dysfunction in patients with non-ischemic dilated cardiomyopathy (NICM) is associated with cardiovascular events. To analyze the feasibility of assessing RV myocardial deformation by feature tracking (FT)-cardiac magnetic resonance (CMR), and its usefulness as a prognostic marker. METHODS: Retrospective study of NICM patients undergoing CMR. Longitudinal FT-RV free wall (LFT-RVFW) and fractional area change (FAC) were obtained. Correlation with standard RV parameters was studied. An association with combined event (heart failure (HF), ICD implantation or cardiovascular death) was assessed using a logistic regression model. RESULTS: 98 patients (64 ± 13 years) were included. Left ventricular (LV) systolic function (LVEF 29.5 ± 9.6%, 47% with LVEF ≥ 30%) and RV (RVEF 52.2 ± 14.6%, 72% with RVEF ≥ 45%). Follow-up of 38 ± 17 months, 26.5% presented at least one admission for HF. An excellent correlation of LFT-RVFW (r = 0.82) and FAC (r = 0.83) with RVEF was evident. No association of RV-FT parameters with prognosis entire study population was found. However, in patients with LVEF ≥ 30%, admissions for HF were associated with lower LFT-RVFW (-21.6 ± 6.6% vs -31.3 ± 10%; p = 0.006) and FAC (36.6 ± 9.6% vs 50.5 ± 13.4%; p < 0.001) values. Similar differences were observed when only patients with RVEF ≥ 45% were considered. An LFT-RVFW cut-off point of -19.5% and FAC of 36.5% showed good prognostic performance. Decreased LFT-RVFW or FAC represented an independent predictor of combined event in patients with LVEF ≥ 30%. CONCLUSIONS: In NICM patients without severe LV dysfunction, decreased values of LFT-RVFW and/or FAC were associated with HF admissions, independently of RVEF.


Assuntos
Cardiomiopatia Dilatada , Insuficiência Cardíaca , Disfunção Ventricular Direita , Humanos , Estudos Retrospectivos , Imagem Cinética por Ressonância Magnética , Disfunção Ventricular Direita/diagnóstico por imagem , Disfunção Ventricular Direita/etiologia , Cardiomiopatia Dilatada/diagnóstico por imagem , Espectroscopia de Ressonância Magnética , Função Ventricular Direita , Volume Sistólico
6.
Curr Urol Rep ; 24(5): 241-251, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36881349

RESUMO

PURPOSE OF REVIEW: Pathologies of the prostate in men are one of the most prevalent clinical conditions today [1]. Specifically, pelvic inflammatory disease such as prostatitis can cause symptoms and syndromes different from urological ones, such as bowel or nervous system manifestations. This has a largely negative impact on the quality of life of patients. Therefore, it is convenient to know and update the information about the therapeutic approach to prostatitis, which is a challenge that involves different medical specialties. The aim of this article is to provide summarized and focused evidence to help in the therapeutic approach of patients with prostatitis. A computer-based search of the PubMed and Cochrane Library databases was used to perform a comprehensive literature review on prostatitis, with special interest in recent findings and latest therapeutic guideline recommendations. RECENT FINDINGS: Recent discoveries about the epidemiology and clinical classifications of prostatitis seem to incur in an increasingly individualized and directed management, with the aim of covering all the confluent factors in prostatic inflammatory pathology. In addition, the role of new drugs and combination with phytotherapy open up a range of new treatment possibilities, although future randomized studies will be necessary to better understand how to use all treatment modalities. Despite all the knowledge acquired about the pathophysiology of prostate diseases, and due to their interrelation with other pelvic systems and organs, there are still gaps that make it difficult for us to provide an optimal and standardized treatment in many of our patients. Being aware of the influence of all the factors potentially involved in prostate symptoms is crucial for a correct diagnosis and establishing an effective treatment plan.


Assuntos
Prostatite , Masculino , Humanos , Doença Crônica , Prostatite/diagnóstico , Qualidade de Vida , Dor Pélvica/terapia , Fitoterapia/efeitos adversos
7.
Rev Med Liege ; 78(1): 17-20, 2023 Jan.
Artigo em Francês | MEDLINE | ID: mdl-36634061

RESUMO

The Guide Line of the Society for Vascular Surgery now recommends endovascular repair (rEVAR) for ruptured abdominal aortic aneurysms (RAAA) when anatomical conditions are present. Abdominal compartment syndrome (ACS) can be one of the serious postoperative complications of rEVAR. ACS is usually associated with progressive development of organ dysfunctions and poor outcomes. We describe an ACS following a RAAA with hemorrhagic shock treated conservatively with a rEVAR.Decompression laparotomy were not performed because spontaneous improvement with conservative ICU treatment was effective.


La Société de Chirurgie Vasculaire recommande désormais la réparation endovasculaire (rEVAR) des anévrismes de l'aorte abdominale rompus (RAAA) lorsque les conditions anatomiques le permettent. Le syndrome compartimental abdominal (SCA) peut être l'une des complications postopératoires graves de la rEVAR. Le SCA est généralement associé au développement progressif d'une dysfonction de plusieurs organes. Nous décrivons ici un syndrome compartimental abdominal (SCA) consécutif à une RAAA avec choc hémorragique, traité de manière conservatrice avec une rEVAR aorto-mono-iliaque et un cross-over fémoro-fémoral. Le patient a été admis en post-opératoire en Unité de Soins intensifs et a développé, à 48 heures postopératoires, un SCA associé à une insuffisance rénale aiguë, une cytolyse hépatique, un œdème pulmonaire aigu et un iléus. Une laparotomie de décompression n'a pas été effectuée car l'amélioration spontanée avec un traitement conservateur aux soins intensifs s'est avérée efficace.


Assuntos
Aneurisma da Aorta Abdominal , Ruptura Aórtica , Procedimentos Endovasculares , Humanos , Resultado do Tratamento , Procedimentos Endovasculares/efeitos adversos , Aneurisma da Aorta Abdominal/complicações , Aneurisma da Aorta Abdominal/cirurgia , Ruptura Aórtica/cirurgia , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Fatores de Risco
8.
Exp Eye Res ; 219: 109019, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35263654

RESUMO

PURPOSE: Retinitis pigmentosa (RP) patients commonly experience negative psychological states due to their progressive and unpredictable loss of vision and visual variations related to stress. The aim of this study was to examine hair cortisol concentrations (HCCs), which is usually associated with chronic stress, pretending to unveil possible associations between underlying psychological factors and disease severity in RP patients. METHODS: Seventy-eight RP patients and 148 healthy controls were included in this study. A complete ophthalmological exam was performed in all patients to grade into severity disease groups. Perceived stress and trait-anxiety were measured by the State-Trait Anxiety Inventory (STAI) questionnaire. RESULTS: Fifty-two (67%) patients had severe RP and 26 (33%) mild-moderate RP. Fifty-eight (58,9%) patients reported severely levels of stress and 18 (23.,1%) highly levels assessed by STAI questionnaire. RP patients exhibited higher HCCs (500.04 ± 120.99 pg/mg) than in controls (136.17 ± 60.51 pg/mg; p < 0.001). Severe RP patients had significant higher HCCs than mild-moderate patients differing in 274.27 pg/mg (p < 0.001). RP severity grade and perceived anxiety levels in the questionaries were not associated. Group differences were not affected by relevant covariates (age, grade of severity, stress status, and gender). CONCLUSIONS: HCC seems an effective biomarker associated with chronic stress in RP patients. This study shows that HCC in patients with RP are elevated compared to population-based controls, and association between HCC and RP severity was found. Future research is needed to characterize the effect of untreated negative psychological states on progression of the disease if any.


Assuntos
Hidrocortisona , Retinose Pigmentar , Biomarcadores , Cabelo , Humanos , Retinose Pigmentar/diagnóstico , Inquéritos e Questionários
9.
Med Oral Patol Oral Cir Bucal ; 27(1): e1-e9, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34874925

RESUMO

BACKGROUND: The professional Burnout Syndrome (BOS) or Burnout is considered a professional disease made up of three interrelated dimensions (emotional exhaustion, depersonalization and lack of personal fulfillment). BOS has been documented to most severely affect the healthcare professions, especially dentists. On the other hand, its appearance has been documented at an early age, during dental training. However, there are no studies that analyze its incidence in professionals dedicated to Oral Surgery and Implantology, determining the age of onset and related factors. MATERIAL AND METHODS: The modified Maslach questionnaire was carried out anonymously among the professors and students of the Master of Oral Surgery and Implantology at the Complutense University of Madrid. A total of 36 participants were enrolled in this study and the results of the modified Maslach Questionnaire were established into four groups [1st year (n=6), 2nd year (n=6), 3rd year (n=6) postgraduate students and clinical teachers (n=18)]. The following variables were recorded: Age, sex, years of experience, weekly hours of work, dedication on weekends and scope of work. The statistical analysis performed included Pearson's correlation, analysis of variance, Student's t-test, F-Anova, Chi-Square and Gamma correlation. Statistical Significance of the tests was established of p≤0.05. RESULTS: 36 questionnaires were analyzed, of which 22.2% (n = 8) presented BOS, and 77.8% (n = 28) a medium risk of suffering it. The mean values and standard deviation ​​of emotional exhaustion (7.50 ± 2.43; 9.83 ± 4.12; 15.83 ± 6.21; 30.22 ± 7.86), depersonalization (5.50 ± 1.23; 50 ± 3.27; 11.33 ± 1.75; 17.56 ± 4.13), low personal fulfillment (39.67 ± 3.72; 39.33 ± 2.34; 43.17 ± 3, 55; 37.33 ± 5.51) and professional burnout (54.33 ± 2.66; 61.67 ± 2.88; 70.33 ± 5.43; 85.11 ± 9.05) in the four groups respectively. A significant association was found in the appearance of emotional exhaustion and depersonalization, years of experience, weekly work hours and the work environment. CONCLUSIONS: BOS is a disease that can appear from 30 years of age, after 5 years of professional experience and when there is a clinical consultation of 40 hours a week. Oral Surgery and Implantology seems to be a risk activity for the manifestation of depersonalization.


Assuntos
Esgotamento Profissional , Procedimentos Cirúrgicos Bucais , Esgotamento Profissional/epidemiologia , Pré-Escolar , Consultores , Humanos , Projetos Piloto , Inquéritos e Questionários
10.
Trop Anim Health Prod ; 54(4): 225, 2022 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-35794282

RESUMO

The objective of the study was to analyse the prevalence of infection by N. caninum and T. gondii in breeding ewes from central western Mexico. For this purpose, 184 blood samples were collected from sheep in the reproductive stage, which were analysed by ELISA and PCR tests, respectively, and the association between seroprevalence and some management factors was estimated by means of a logistic regression analysis. For N. caninum, a seroprevalence of 15.22% was identified, while the DNA detection in blood was 14.13% (26/184); positive animals were found in 75% of the farms (6/8). The variables poor placental waste management (OR 8.4), abortion history (OR 1.5) and presence of rodents (OR 1.3) were identified as risk factors for N. caninum infection. In the case of T. gondii, a seroprevalence of 61.96% was found, and antibodies were detected in eight farms included in the study; no positive samples were identified for T. gondii by the PCR test. The main identified risk factors for T. gondii were as follows: poor hygiene conditions (OR 12.5), presence of cats (OR 9.5), presence of other domestic animals (OR 5.7), urban context of the farm (OR 9.5) and public water supply (OR 5.3). The seroprevalence of co-infection of T. gondii and N. caninum in breeding ewes was 7% (13/184; 95% CI 6.92-7.20). T. gondii has a high seroprevalence while N. caninum was of lower proportion, and both may be associated with reproductive losses for these herds studied.


Assuntos
Doenças do Gato , Neospora , Doenças dos Ovinos , Toxoplasmose , Animais , Cruzamento , Gatos , Feminino , México/epidemiologia , Placenta , Gravidez , Prevalência , Fatores de Risco , Estudos Soroepidemiológicos , Ovinos , Doenças dos Ovinos/epidemiologia
11.
Rev Med Liege ; 77(2): 98-103, 2022 Feb.
Artigo em Francês | MEDLINE | ID: mdl-35143129

RESUMO

Chronic mesenteric ischemia (CMI) is a clinical entity linked to a gradual decrease in coelio-mesenteric arterial flow caused by occlusive disease of the digestive arterial axes. There are many etiologies of CMI, but most of the time atherosclerosis is the leading cause. Due to the development of collateral networks, clinical manifestations of CMI are very rare although some degree of stenosis of the digestive arteries is frequently found in asymptomatic elderly patients. Symptomatic CMI typically presents with the triad «post-meal abdominal pain - fear of eating - weight loss¼. Open surgical treatment was the gold standard for the management of symptomatic CMI since 1958. However, from 1980 and the introduction of endovascular treatment, percutaneous angioplasty combined with with stenting became the most common revascularization technique for CMI. The objective of this article is to report the results associated with endovascular therapy in patients with CMI at our hospital over the past 8 years.


L'ischémie mésentérique chronique (IMC) est une entité clinique rare liée à la diminution graduelle du flux artériel coelio-mésentérique causée par une maladie occlusive des axes artériels digestifs. De nombreuses étiologies de l'IMC existent, mais la plus fréquente est l'athérosclérose. En raison du développement de réseaux de vicariances, les manifestations cliniques de l'IMC sont rares, même en présence d'une lésion des troncs artériels digestifs. L'IMC symptomatique se présente par la triade classique de douleurs abdominales post-prandiales, sitiophobie (peur de se nourrir) et amaigrissement. La revascularisation chirurgicale était considérée comme le traitement de choix dans la prise en charge des patients symptomatiques depuis 1958, mais au prix d'une morbi-mortalité peropératoire non négligeable. À partir de l'introduction du traitement endovasculaire en 1980, cette procédure, combinant angioplastie percutanée et mise en place de stents, est devenue la technique de choix au vu de ses avantages en termes de morbi-mortalité et de durée de séjour. L'objectif de cet article est de rapporter les résultats associés à la prise en charge endovasculaire des patients atteints d'IMC au sein de notre institut au cours des 8 dernières années.


Assuntos
Procedimentos Endovasculares , Isquemia Mesentérica , Oclusão Vascular Mesentérica , Idoso , Angioplastia , Doença Crônica , Humanos , Isquemia , Isquemia Mesentérica/cirurgia , Oclusão Vascular Mesentérica/cirurgia , Recidiva , Estudos Retrospectivos , Stents , Resultado do Tratamento
12.
Mol Hum Reprod ; 27(6)2021 05 29.
Artigo em Inglês | MEDLINE | ID: mdl-33950245

RESUMO

Transcriptome analyses using high-throughput methodologies allow a deeper understanding of biological functions in different cell types/tissues. The present study provides an RNA-seq profiling of human sperm mRNAs and lncRNAs (messenger and long non-coding RNAs) in a well-characterized population of fertile individuals. Sperm RNA was extracted from twelve ejaculate samples under strict quality controls. Poly(A)-transcripts were sequenced and aligned to the human genome. mRNAs and lncRNAs were classified according to their mean expression values (FPKM: Fragments Per Kilobase of transcript per Million mapped reads) and integrity. Gene Ontology analysis of the Expressed and Highly Expressed mRNAs showed an involvement in diverse reproduction processes, while the Ubiquitously Expressed and Highly Stable mRNAs were mainly involved in spermatogenesis. Transcription factor enrichment analyses revealed that the Highly Expressed and Ubiquitously Expressed sperm mRNAs were primarily regulated by zinc-fingers and spermatogenesis-related proteins. Regarding the Expressed lncRNAs, only one-third of their potential targets corresponded to Expressed mRNAs and were enriched in cell-cycle regulation processes. The remaining two-thirds were absent in sperm and were enriched in embryogenesis-related processes. A significant amount of post-testicular sperm mRNAs and lncRNAs was also detected. Even though our study is solely directed to the poly-A fraction of sperm transcripts, results indicate that both sperm mRNAs and lncRNAs constitute a footprint of previous spermatogenesis events and are configured to affect the first stages of embryo development.


Assuntos
Fertilização/genética , Perfilação da Expressão Gênica , RNA Longo não Codificante/genética , RNA Mensageiro/genética , Espermatogênese/genética , Espermatozoides/química , Adulto , DNA Complementar/genética , Desenvolvimento Embrionário/genética , Biblioteca Gênica , Ontologia Genética , Humanos , Masculino , RNA Longo não Codificante/isolamento & purificação , RNA Mensageiro/isolamento & purificação , RNA-Seq , Valores de Referência , Alinhamento de Sequência , Adulto Jovem
13.
Opt Lett ; 46(21): 5348-5351, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34724472

RESUMO

We evaluate the impact of Power-over-Fiber (PoF) technology on the fronthaul of a 5G-NR network with an Analog-Radio-over-Fiber at 25.5 GHz on a 10 km long multicore fiber. The study in this Letter analyzes the bit error rate (BER) performance for different levels of energy transmitted by the PoF system. 133 mW of maximum optical power at reception is demonstrated showing negligible BER impact or data transmission BER improvement in a dedicated and shared scenario.

14.
J Environ Manage ; 255: 109718, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31785459

RESUMO

Using a mathematical model, a resource recovery assessment was carried out at a pulp mill activated sludge wastewater treatment plant (WWTP) located in Uruguay. Through the evaluation of different scenarios, the potential production of methane from secondary sludge, with its inherent energy savings, and the recovery of phosphorus (P) as struvite were estimated. Considering the current WWTP configuration with a sludge retention time (SRT) of 32 days, and according to the model, which is a simplification of reality, the assessment indicates that the implementation of an anaerobic digester (AD) to treat the excess sludge can lead to a methane production of approximately 1736 m3 CH4 d-1, being a promising alternative to increase the WWTP treatment performance. Furthermore, the model predictions suggest that by shortening the SRT from 32 to 5 days, the methane production could increase by up to 5568 m3 CH4 d-1. If the methane produced is used to generate electrical energy to operate the WWTP, energy savings of about 88% can be achieved. Regarding the potential recovery of P as struvite, the addition of a struvite reactor could be an efficient option to recover approximately 1611 mg L-1 of struvite (corresponding to a load of about 433 kg d-1). By optimizing the process performance, these findings highlight the potential recovery of resources in pulp mill WWTP, while complying with stringent effluent discharge standards. In addition, further research activities such as pilot-test or detailed laboratory studies may be needed to validate the previous recommendations for industrial scale application.


Assuntos
Eliminação de Resíduos Líquidos , Águas Residuárias , Anaerobiose , Reatores Biológicos , Metano , Esgotos , Uruguai
15.
J Environ Manage ; 237: 595-608, 2019 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-30826641

RESUMO

The purpose of this research was the preparation and photocatalytic evaluation of a novel nanocomposite (NC) based on Fe3O4/ZnO, to eliminate four persistent antibiotics in surface waters: sulfamethoxazole, trimethoprim, erythromycin and roxithromycin. Prior to the operation of the photocatalytic reactor, the influence of pH (3-9), catalyst concentration (50-800 mg L-1), oxidant dose (0-100 mg L-1) and concentration of different targets (10-100 µg L-1) on the catalytic efficiency was evaluated. The analysis of reaction kinetics showed that degradation processes of the four antibiotics followed a pseudo-first-order kinetic model. Antibiotics adsorption onto the nanocomposite surface depended on their electrostatic nature and played an important role when decreasing the initial concentration of antibiotics. In this context, kinetic rates were higher at lower initial levels of organic pollutants, which is a favourable effect from a practical application perspective. On the other hand, a synergistic effect of the available Fe in the nanocomposite was found, contributing to the oxidation of antibiotics by photo-Fenton as a secondary reaction. Then, a magnetic photocatalytic reactor was operated under optimal conditions. The enhanced photonic efficiency of Fe3O4/ZnO in the system, as well as the ease of the magnetic separation and catalyst reusability, indicate the viability of this reactor configuration.


Assuntos
Nanocompostos , Poluentes Químicos da Água , Óxido de Zinco , Antibacterianos , Catálise , Sulfametoxazol
16.
Nutr Metab Cardiovasc Dis ; 28(10): 1002-1011, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30207268

RESUMO

BACKGROUND AND AIMS: Fermented dairy products have been associated with a better diet quality and cardio-metabolic profile. However, in Mediterranean populations, these associations have not been well characterized. The aim of this study was to assess the diet quality and the associations between the consumption of total fermented dairy products and their subtypes and the prevalence of Metabolic Syndrome (MetS) components in a Mediterranean population at high cardiovascular risk. METHODS AND RESULTS: Baseline cross-sectional analyses were conducted on 6,572 men and women (mean age: 65 years) with overweight or obesity and MetS recruited into the PREDIMED-Plus cohort. A 143-item Food Frequency Questionnaire (FFQ) was used, and anthropometrical, biochemical, and blood pressure measurements were recorded. Multivariate-adjusted Cox regressions were fitted to analyze the association between quartiles of consumption of fermented dairy products and their subtypes and MetS components to estimate the relative risk (RR) and 95% confidence intervals (95% CIs). Participants who were high consumers of fermented dairy products reported a higher consumption of fruit, vegetables, fish, nuts, and whole bread and a lower consumption of white bread, alcohol, and cookies. Participants in the higher quartile showed a lower prevalence of the low HDL-cholesterol component of the MetS (RR=0.88; 95% CI: 0.78-0.98) than those in the lowest quartile of cheese consumption. Cheese consumption was inversely associated with the prevalence of hypertriglyceridemia. Total fermented dairy products, yogurt, and its types were not associated with any of the MetS components. CONCLUSIONS: Compared to nonconsumers, participants consuming fermented dairy products reported a better diet quality and, particularly, cheese consumers presented a lower prevalence of hypertriglyceridemia and low HDL-cholesterol plasma levels, which are MetS components.


Assuntos
Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/prevenção & controle , Produtos Fermentados do Leite , Dieta Saudável , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/prevenção & controle , Idoso , Biomarcadores/sangue , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/diagnóstico , Queijo , HDL-Colesterol/sangue , Estudos Transversais , Inquéritos sobre Dietas , Feminino , Humanos , Hipertrigliceridemia/sangue , Hipertrigliceridemia/epidemiologia , Hipertrigliceridemia/prevenção & controle , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/diagnóstico , Pessoa de Meia-Idade , Valor Nutritivo , Tamanho da Porção , Prevalência , Fatores de Proteção , Recomendações Nutricionais , Fatores de Risco , Comportamento de Redução do Risco , Espanha , Triglicerídeos/sangue
17.
Child Care Health Dev ; 44(1): 4-11, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29235169

RESUMO

BACKGROUND: Chile Crece Contigo (ChCC) is defined as a comprehensive, intersectoral, and multicomponent policy that aims to help all children reach their full potential for development, regardless of their socio-economic status. METHODS: This case study was developed on the basis of grey literature review and key informants' interviews. RESULTS: ChCC behaves as a complex adaptive system that combines universal and targeted benefits for the more vulnerable starting since gestation and until the children are 4 years old. Three key ministries are involved in ChCC management: health, education, and social development. Studies show adequate programme implementation and positive effects of ChCC on child development. In addition, it was found that the more families use ChCC benefits and the longer the subsystem has been operating in the commune, the greater the positive effects. CONCLUSIONS: Strong political support based on principles of equity and child rights combined with strong evidence and funding commitment from government has been central to emergence, scaling up, and sustainability of ChCC. Further sustainability of ChCC will rely on firmly establishing a well-trained and compensated cadre of early child development professionals and paraprofessionals as well as an improved management and evaluation decentralized system.


Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Educação em Saúde/organização & administração , Implementação de Plano de Saúde , Política de Saúde , Desenvolvimento Infantil , Educação Infantil , Proteção da Criança , Pré-Escolar , Chile , Implementação de Plano de Saúde/organização & administração , Humanos , Lactente , Recém-Nascido , Entrevistas como Assunto , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
18.
J Environ Manage ; 206: 103-112, 2018 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-29059565

RESUMO

Applying ozone to the return flow in an activated sludge (AS) process is a way for reducing the residual solids production. To be able to extend the activated sludge models to the ozone-AS process, adequate prediction of the tri-atoms effects on the particulate COD fractions is needed. In this study, the biomass inactivation, COD mineralization, and solids dissolution were quantified in batch tests and dose-response models were developed as a function of the reacted ozone doses (ROD). Three kinds of model-sludge were used. S1 was a lab-cultivated synthetic sludge with two components (heterotrophs XH and XP). S2 was a digestate of S1 almost made by the endogenous residues, XP. S3 was from a municipal activated sludge plant. The specific ozone uptake rate (SO3UR, mgO3/gCOD.h) was determined as a tool for characterizing the reactivity of the sludges. SO3UR increased with the XH fraction and decreased with more XP. Biomass inactivation was exponential (e-ß.ROD) as a function of the ROD doses. The percentage of solids reduction was predictable through a linear model (CMiner + Ysol ROD), with a fixed part due to mineralization (CMiner) and a variable part from the solubilization process. The parameters of the models, i.e. the inactivation and the dissolution yields (ß, 0.008-0.029 (mgO3/mgCODini)-1 vs Ysol, 0.5-2.8 mg CODsol/mgO3) varied in magnitude, depending on the intensity of the scavenging reactions and potentially the compactness of the flocs for each sludge.


Assuntos
Ozônio , Esgotos , Biomassa , Eliminação de Resíduos Líquidos
19.
Appl Microbiol Biotechnol ; 101(4): 1661-1672, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27830293

RESUMO

Sulphate-rich wastewaters can be generated due to (i) use of saline water as secondary-quality water for sanitation in urban environments (e.g. toilet flushing), (ii) discharge of industrial effluents, (iii) sea and brackish water infiltration into the sewage and (iv) use of chemicals, which contain sulphate, in drinking water production. In the presence of an electron donor and absence of oxygen or nitrate, sulphate can be reduced to sulphide. Sulphide can inhibit microbial processes in biological wastewater treatment systems. The objective of the present study was to assess the effects of sulphide concentration on the anaerobic and aerobic physiology of polyphosphate-accumulating organisms (PAOs). For this purpose, a PAO culture, dominated by Candidatus Accumulibacter phosphatis clade I (PAO I), was enriched in a sequencing batch reactor (SBR) fed with acetate and propionate. To assess the direct inhibition effects and their reversibility, a series of batch activity tests were conducted during and after the exposure of a PAO I culture to different sulphide concentrations. Sulphide affected each physiological process of PAO I in a different manner. At 189 mg TS-S/L, volatile fatty acid uptake was 55% slower and the phosphate release due to anaerobic maintenance increased from 8 to 18 mg PO4-P/g VSS/h. Up to 8 mg H2S-S/L, the decrease in aerobic phosphorus uptake rate was reversible (Ic60). At higher concentrations of sulphide, potassium (>16 mg H2S-S/L) and phosphate (>36 mg H2S-S/L) were released under aerobic conditions. Ammonia uptake, an indicator of microbial growth, was not observed at any sulphide concentration. This study provides new insights into the potential failure of enhanced biological phosphorus removal sewage plants receiving sulphate- or sulphide-rich wastewaters when sulphide concentrations exceed 8 mg H2S-S/L, as PAO I could be potentially inhibited.


Assuntos
Candida/metabolismo , Fósforo/metabolismo , Sulfetos/farmacologia , Biodegradação Ambiental , Candida/efeitos dos fármacos
20.
J Fish Dis ; 40(9): 1129-1139, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28032357

RESUMO

The effect of IPNV-VHSV coinfection and superinfection on the mortality caused by both viruses in Senegalese sole has been analysed. No effect was observed after coinfection. However, a clear viral interference was recorded between a primary IPNV and a subsequent VHSV infection, which led to a survival increase in the infected sole of 50% points when compared with fish infected only with VHSV. The significantly higher Mx transcriptional values in the fish pre-exposed to IPNV (at least at first days after superinfection) and the increased daily mortality when low Mx transcriptional levels were recorded suggest that Mx may be involved in the protective effect against VHSV infection. However, in fish subjected to VHSV primary/IPNV secondary infection, no interference was observed.


Assuntos
Infecções por Birnaviridae/veterinária , Coinfecção/veterinária , Doenças dos Peixes/mortalidade , Linguados , Septicemia Hemorrágica Viral/mortalidade , Superinfecção/veterinária , Animais , Infecções por Birnaviridae/mortalidade , Infecções por Birnaviridae/virologia , Coinfecção/mortalidade , Coinfecção/virologia , Doenças dos Peixes/virologia , Proteínas de Peixes/imunologia , Septicemia Hemorrágica Viral/virologia , Vírus da Necrose Pancreática Infecciosa/fisiologia , Interferons/imunologia , Novirhabdovirus/fisiologia , Superinfecção/mortalidade , Superinfecção/virologia
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